Weybourne

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service. This key question has been rated Good

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Some relatives told us they were involved in the planning and reviewing of their relatives’ care. Comments included, “I have seen a care plan, and I’ve signed it; and I have a copy” and “[Name] has a care plan, and we have had review meetings.”

The care plans and risk assessment records detailed people’s needs and important information about their lives. Staff used these records to understand people’s ongoing needs and monitor their well-being. For example, staff understood triggers that may cause individuals to become distressed and used this knowledge to reduce the chance they might become upset.

Where people experienced distressed behaviours their care plans and risk assessments contained detailed guidance on how to support the person safely, and staff we spoke with were able to describe to us how they supported people during periods of anxiety or agitation.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

A family member told us “They tell me about hospital appointments. Sometimes I take them, we were away the sent them with a carer, they got a minibus and took them. There is a resident doctor who goes in there.” And another said” About nine months ago they [staff] said everyone has to have a dental check, [Relative] has been to the dentist. [Relative] is up to date all their immunisations. It’s been absolutely amazing they have been given, so much good care and it has enhanced their life in such a positive way. [Relative] has lived a lot longer than the doctors said they may, due to the good care. It’s outstanding, I have been blown away.”

People’s records demonstrated they were receiving evidence-based care and treatment as required. For example, care plans contained detail about the diets people were receiving and potential risks associated with unintentional weigh loss or fragile skin, and records reflected the care and support being provided. Where people required repositioning due to immobility, care plans contained detail about the level of support required, and daily care records demonstrated these plans were being followed.

The service had links with community based and hospital nursing services which meant that they had access to wellbeing provisions which included activities, and a range of programmes tailored for older adults.

Local nursing services confirmed where people had fallen, the service provider worked closely with various specialist teams to build people’s strength and balance to reduce risks of falls.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

A family member told us “They tell me about hospital appointments. Sometimes I take them, we were away the sent them with a carer, they got a minibus and took them. There is a resident doctor who goes in there.” And another said” About nine months ago they [staff] said everyone has to have a dental check, [Relative] has been to the dentist. [Relative] is up to date all their immunisations. It’s been absolutely amazing they have been given, so much good care and it has enhanced their life in such a positive way. [Relative] has lived a lot longer than the doctors said they may, due to the good care. It’s outstanding, I have been blown away.”

People’s records demonstrated they were receiving evidence-based care and treatment as required. For example, care plans contained detail about the diets people were receiving and potential risks associated with unintentional weigh loss or fragile skin, and records reflected the care and support being provided. Where people required repositioning due to immobility, care plans contained detail about the level of support required, and daily care records demonstrated these plans were being followed.

The service had links with community based and hospital nursing services which meant that they had access to wellbeing provisions which included activities, and a range of programmes tailored for older adults.

Local nursing services confirmed where people had fallen, the service provider worked closely with various specialist teams to build people’s strength and balance to reduce risks of falls.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff liaised with external health and social care professionals to ensure people received consistent care and support. Relatives reported people had experienced positive outcomes since moving to the service. A relative said, “I am very happy here. I found [relative] health has improved and I feel good about it.”

Referrals were made to relevant services, such as dietician, or speech and language therapy where assessment and advice was required. One relative commented, “The staff know what they are doing and keep a good eye on them. They are very good at spotting if anything is wrong.”

People's mealtime experiences was good. The lunches smelt and looked appetising, and people were actively offered alternatives to the two main choices. Staff were knowledgeable about people's dietary needs, including those individuals who required modified textures or altered diets. People told us they were happy with the meal choices, and we observed people enjoying their meals. We saw staff supporting people to eat and drink with dignity. A family member told us “The staff support my [ Relative] they do not rush or stands over them, rather they sit next to them, which encourages them to enjoy their meals.”

Snacks and drinks were readily available in-between meals, including fresh fruit staff were responsible for offering those snacks and drinks in each lounge area and we saw staff sensitively encouraging people. This ensured people had enough food and drink to maintain their health and wellbeing.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People’s record showed there were systems in place to routinely monitor people’s care and treatment to continuously improve it. For example, staff understood the importance of supporting people to maintain hydration and how to identify if there were concerns with areas such as pressure sores or where people were at risk of constipation or needed to be supported to reposition regularly to reduce the risk of skin integrity issues.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff told us they received mental capacity training and promoted people's best interests. One staff member said, "If someone refuses personal care, I will speak to a colleague or senior and someone else will try”. On all three days of assessment, we observed staff sought consent before providing support to people and people told us that staff would respect their wishes. Care plans contained information about people’s cognitive abilities and mental capacity and where people lacked capacity, assessments and best interest decisions were made. Where people were subject to restrictions appropriate deprivation of liberties safeguard (DoLS) requests were made. Staff had completed training in relation to the mental capacity act andDoLS.